Active NPI
Heather L. Hulse, LMSW
- Social Worker
- Penn Yan, NY
National Provider Identifier
1558700740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 059646-1
- Practice address
- 465 N Main St
John D. Kelly Behavioral Health
Penn Yan, NY 14527-1069 - Phone
- (315) 531-2400
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 059646-1 | NY | Primary |
Addresses
Primary practice location
465 N Main St
John D. Kelly Behavioral Health
Penn Yan, NY 14527-1069
Mailing address
421 N Main St
Penn Yan, NY 14527-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059646-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1558700740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N MAIN ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 N MAIN ST",
"address_2": "JOHN D. KELLY BEHAVIORAL HEALTH",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271069",
"telephone_number": "315-531-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "HEATHER",
"middle_name": "L.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "059646-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.